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Researchers considering this stack should start with conservative doses of each compound and monitor carefully for unexpected effects

Weakness, bleeding, increased pain Postprocedure Follow-Up Expect relief of symptoms shortly after injection with local anesthetic Expect relief of symptoms in 2 to 3 days with botox Keep log of symptoms post procedure Keep area clean and dry Potential Complications and Pitfalls Horner sign Brachial plexus block Dysphonia Dysphagia Sensory blockade and weakness of the upper extremity Intravascular placement Spinal accessory nerve (CN XI) injury Clinical Pearls Thorough history and physical examination to ensure accurate diagnosis

15 Apr Dr